Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $294.69 / $294.69 / $294.69	Facility		$294.69	$294.69	$294.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $196.26 / $294.69 / $294.69	Professional		$196.26	$294.69	$294.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $289.69 / $292.58 / $362.11	Professional		$289.69	$292.58	$362.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $77.65 / $328.40 / $600.00	Facility		$77.65	$328.40	$600.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $194.32 / $194.32 / $294.69	Professional		$194.32	$194.32	$294.69
Midlands Facility/Professional Facility Modifier Low / Median / High Price $79.81 / $233.18 / $341.20	Facility		$79.81	$233.18	$341.20
Midlands Facility/Professional Professional Modifier Low / Median / High Price $55.24 / $161.72 / $274.55	Professional		$55.24	$161.72	$274.55
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $322.49 / $322.49 / $322.49	Professional		$322.49	$322.49	$322.49
United Facility/Professional Professional Modifier Low / Median / High Price $294.69 / $294.69 / $324.16	Professional		$294.69	$294.69	$324.16
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $194.32 / $194.32 / $194.32	Facility		$194.32	$194.32	$194.32
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $194.32 / $194.32 / $194.32	Professional		$194.32	$194.32	$194.32